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Computed tomography in choanal atresia

Published online by Cambridge University Press:  29 June 2007

Donald B. Kearns
Affiliation:
Department of Otolaryngology, Hospital for Sick Children, London.
Michael Wickstead
Affiliation:
Department of Otolaryngology, Hospital for Sick Children, London.
Dennis I. Choa
Affiliation:
Department of Otolaryngology, Hospital for Sick Children, London.
Rosalind N. Leitch
Affiliation:
Department of Otolaryngology, Hospital for Sick Children, London.
Martin Bailey*
Affiliation:
Department of Otolaryngology, Hospital for Sick Children, London.
J. N. J. Evans
Affiliation:
Department of Otolaryngology, Hospital for Sick Children, London.
*
C. Martin Bailey, B.Sc., F.R.C.S., Department of Otolaryngology, Hospital for Sick Children, Great Ormond Street, London WCIN 3JH.

Abstract

Computed tomography is replacing contrast radiography as the method of choice in evaluating congenital posterior choanal atresia. Careful preparation of the patient, however, is necessary prior to the examination in order to obtain the maximum of information pre-operatively.

We present patients with inadequate preparation and illustrate their misleading scans. The proper method of examination is discussed, with a review of the literature; it is essential to remove nasal secretions by suction and instil vasoconstrictor nose drops, shortly before scanning.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1988

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